Factors influencing HIV testing and counselling services among men who have sex with men in Western China: a cross-sectional study based on Andersen's Behavioral Model

作者全名："Lin, Bing; Liu, Jiaxiu; Ma, Yingjie; Zhong, Xiaoni"

作者地址："[Lin, Bing; Ma, Yingjie; Zhong, Xiaoni] Chongqing Med Univ, Res Ctr Med & Social Dev, Sch Publ Hlth & Management, Chongqing, Peoples R China; [Liu, Jiaxiu] Chongqing Med Univ, Sch Med Informat, Chongqing, Peoples R China"

通信作者："Zhong, XN (通讯作者)，Chongqing Med Univ, Res Ctr Med & Social Dev, Sch Publ Hlth & Management, Chongqing, Peoples R China."

来源：ENVIRONMENTAL HEALTH AND PREVENTIVE MEDICINE

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:000837876100021

JCR分区：Q1

影响因子：4.7

年份：2022

卷号：27

期号：　

开始页：　

结束页：　

文献类型：Article

关键词：HIV testing; HIV counselling; Health service; Men who have sex with men; Andersen's Behavioral Model

摘要："Background: Men who have sex with men (MSM), as a marginal population, has been largely ignored by health service projects. We assessed the utilization of HIV testing and counselling services and its influencing factors based on Andersen 's Behavioral Model, so as to provide a theoretical basis for future infectious disease prevention and control strategies and health services policy formulation for these population. Method: This was a cross-sectional study. A sample survey was conducted in Western China, and an anonymous self-administered questionnaire survey was conducted among MSM. Based on Andersen 's Behavioral Model, the questionnaire divided the influencing factors into predisposing factor, enabling factor and need factor. Multivariate logistic regression analysis was used to explore the factors influencing the utilization of HIV testing and counselling. Results: There were 3184 valid questionnaires. In the survey of HIV health services, 82.85% MSM had HIV testing and 64.98% MSM had HIV counselling, respectively. Among the predisposing factor, age 25 years old and over was a facilitator of HIV testing and counselling, and ethnicity was a factor associated with HIV testing. Among the enabling factor, MSM living in urban were more likely to have access to testing and counselling services, and income was also linked to HIV testing. Among the need factor, a high level of HIV knowledge could promote testing and counselling, and a history of sexually transmitted diseases (STD) was a facilitator of testing. Conclusions: HIV testing is widespread in Western China and higher than counselling service. MSM with high-risk characteristics should be identified as a priority in the future public health services."

基金机构："National Key Project for Infectious Diseases of the Ministry of Science and Technology of China [2012ZX10001007-007, 2018ZX10721102-005]"

基金资助正文：This work was supported by the National Key Project for Infectious Diseases of the Ministry of Science and Technology of China (2012ZX10001007-007 and 2018ZX10721102-005).